St. Joseph Center - Wise & Healthy Aging | |
1527 4th St Fl 2 Santa Monica CA 90401 | |
(310) 576-2550 | |
(310) 576-2499 |
Full Name | St. Joseph Center - Wise & Healthy Aging |
---|---|
Speciality | Community/behavioral Health |
Location | 1527 4th St Fl 2, Santa Monica, California |
Authorized Official Name and Position | Va Lecia Adams Kellum (PRESIDENT & CEO) |
Authorized Official Contact | 3103966468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Joseph Center - Wise & Healthy Aging 1527 4th St Fl 2 Santa Monica CA 90401-2358 Ph: (310) 576-2550 | St. Joseph Center - Wise & Healthy Aging 1527 4th St Fl 2 Santa Monica CA 90401 Ph: (310) 576-2550 |
NPI Number | 1043416993 |
---|---|
Provider Enumeration Date | 06/26/2007 |
Last Update Date | 07/02/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043416993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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